Chamber and committees

The Scottish Government recognises the challenges facing those living in remote and rural areas and the importance of women being able to access the support they need, when they need it. Work is ongoing to ensure services are developed in a flexible and innovative way, recognising local population needs and geographic challenges and there is now a menopause specialist in every mainland NHS Board, with a buddy system in place for the Island Boards.

The recently published NHSScotland Menopause and Menstrual Health Policy is intended as an example of best practice so that employers across Scotland can adapt it for their organisation, should they wish. The supporting resources, includes line managers’ guidance and workplace adjustment guidance and are intended for use more widely across a variety of employment sectors. They are available on the National Wellbeing Hub .

Transport Scotland's involvement in Project CAVForth demonstrates the Scottish Government's belief that a modern transport system is fundamental to sustainable and inclusive economic growth and has the potential to deliver economic and societal benefits.

Transport Scotland’s involvement in Project CAVForth, as a partner, came to a conclusion at the end of July 2023 when the funding period for the project ended. The project aim of delivering an autonomous bus service was successfully achieved and my officials obtained considerable operational knowledge relating to the steps required to support the safe implementation of such a service. The trial service will continue until March 2025 under a successor project and the ongoing evaluation of the project and the next steps are being taken forward by Stagecoach as the operator of the service. In Transport Scotland’s role as roads authority for the majority of the route my officials will continue to support the project where possible.

My officials are also continuing to engage with the DfT around UK Government plans to introduce new legislation to support self-driving vehicles.

The Scottish Government has several sources of funding available to children and young people with cancer, in Scotland, to assist with the travel expenses incurred for travelling for cancer treatment. These include the Patient Travelling Expenses Scheme and The Highlands and Islands Travel Scheme (HITS) for outpatients. All Health Boards also have the discretion to reimburse patient travel expenses where it is viewed to be an extension of treatment costs and deemed to be clinically necessary.

A table showing the number of supported living projects and the number of homes delivered in each local authority area since 1999, which received support from the Affordable Housing Supply Programme or its predecessor programmes, has been placed in the Scottish Parliament Information Centre (Bib Number 64694).

We have interpreted ‘supported accommodation’ as including sheltered, very sheltered and supported accommodation and homes delivered for people with dementia.

We do not hold information on supported living developments where we did not provide funding.

To note that here have been a number of IT system changes and coding changes since 1999.

Care and Review (M:CR) service replaced the Chronic Medication Service in all community pharmacies in February 2021. Patients who are registered for M:CR can receive serial prescriptions for their regular repeat medicines in agreement with their GP prescriber.

A serial prescription can be written for medicines, medical sundries or appliances and are generated for a period of 24, 48 or 56 weeks. However, controlled drugs listed within Schedule 1-4 of The Misuse of Drugs Regulations’ 2001 and cytotoxics such as methotrexate are not permissible on a serial prescription.

As the majority of medicines for the treatment of attention deficit hyperactivity disorder (ADHD) are controlled drugs, they are not are suitable to be dispensed under a serial prescription.

Where certain medicines are not suitable for a serial prescription, or where the GP wishes to monitor the patient’s condition more closely, they would be provided on a repeat prescription, which does not exceed a maximum quantity of 30 days’ supply of Schedule 2, 3 and 4 controlled drugs. The patient needs to ensure they request their repeat prescription in good time and their GP practice can advise how they manage requests for repeat prescriptions.

The Scottish Government acknowledges that that it can be difficult for patients when there is a need to refer them outwith Scotland for specialist treatment.

Ministers expect Health Boards to be mindful of this, to discuss patients’ circumstances with them, and make suitable arrangements to ensure that the necessary treatment can be provided in a patient-centred way. This includes helping to identify and access financial support available for eligible patients and authorised escorts, such as through the Patient Travelling Expenses Scheme and the Highlands and Islands Travel Scheme (HITS).

All Health Boards also have the discretion to reimburse patient travel expenses where it is viewed to be an extension of treatment costs and deemed to be clinically necessary.

Social Security Scotland know some people have waited too long for a Child Disability Payment decision to be made, including some of those with cancer. Urgent improvement action has been taken by Social Security Scotland to speed up processing times. The latest published figures show around 25% more applications were processed in the last quarter than any other since the benefit launched. Social Security Scotland expect further impact of our improvement work to reflect in the coming months.

Social Security Scotland has a fast-track process for people who are terminally ill, called Special Rules for Terminal Illness (SRTI), they aim to make decisions within seven working days of receiving a completed SRTI application and Benefits Assessment for Special Rules in Scotland (BASRiS) form.

The way Social Security Scotland delivers disability benefits is fundamentally different to the UK – people are treated with dignity, fairness and respect.

A significant change is that Social Security Scotland will collect information to support someone's application if needed. Under the DWP, people are forced to do this themselves.

To support faster decision making on applications, listening to feedback from clients and third parties, improvements include

• improved wording on the application to help clients understand what supporting information to supply,
• early phone engagement with clients who have submitted applications without supporting information to establish if they have readily available information to allow a decision to be made,
• improved communication with health and social care professionals and introducing a payment to support third sector organisations who provide supporting information at the agency’s request.

The Scottish Government closely monitor excess deaths statistics and work closely with our analytical partners Public Health Scotland (PHS) and National Records of Scotland (NRS) to understand the causes of excess deaths.

NRS are responsible for publishing Scotland’s excess deaths statistics, which includes breakdowns by cause of death.

A British Medical Journal editorial from the four UK Chief Medical Officers acknowledged that the UK, like many other European countries is currently experiencing substantial excess mortality. This editorial highlights the reasons behind this excess mortality are likely to be multifactorial, including persisting direct and indirect effects of COVID-19, surges in flu and respiratory infections, significant pressures on NHS acute services, and reductions in secondary prevention as an inevitable part of the response to COVID-19.